Individual
DR. ANTHONY B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
3333 W KENNEDY BLVD STE 104, TAMPA, FL 33609-2952
(813) 879-4415
Mailing address
3333 W KENNEDY BLVD STE 104, TAMPA, FL 33609-2952
(813) 879-4415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY002459
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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